Active NPI
Howard Crisp, M.D.
- Allergy & Immunology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- Q1385
- Practice address
- 8220 Walnut Hill Lane
Suite 101
Dallas, TX 75231-4402 - Phone
- (214) 369-1901
- Fax
- (214) 369-1905
- NPI assigned
- Apr 18, 2007
- Last updated
- Dec 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 0101242884 | VA | |
| Allergy & Immunology Physician | 207K00000X | Q1385 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 0101242884 | VA | |
| Internal Medicine Physician | 207R00000X | Q1385 | TX | |
| Military Health Care Provider | 171000000X | NU |
Addresses
Primary practice location
8220 Walnut Hill Lane
Suite 101
Dallas, TX 75231-4402
Mailing address
8220 Walnut Hill Lane
Suite 101
Dallas, TX 75231-4402
Phone (210) 292-4278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Eastern Virginia Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5068 W Plano Pkwy
Suite 300
Plano, TX 75093-4409
Phone (972) 596-4383
8210 Walnut Hill LN
Dallas, TX 75231-4421
Phone (214) 369-1901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242884 | VA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandeep Gupta, MD, PA | Current | Accepting new patients | |
| Oliver Street 5.01(a) Inc. | Past | Accepting new patients |
Locations
8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885
8220 Walnut Hill Ln
Ste 101
Dallas, TX 75231
Phone (214) 368-6707
5068 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 447-8330
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Texas Allergy & Asthma Associates
- Allergy Physician
- Dallas, TX
- NPI 1457406423
-
dba U.S. Dermatology Partners
- Dermatology Physician
- Dallas, TX
- NPI 1457695413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1760608442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LANE",
"address_2": "SUITE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314402",
"telephone_number": "210-292-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LANE",
"address_2": "SUITE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314402",
"telephone_number": "214-369-1901",
"fax_number": "214-369-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISP",
"first_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "VA",
"license": "0101242884",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "Q1385",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101242884",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q1385",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.